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Oregon lottery winner form

Oregon lottery claim form 2025

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The document is a claim form for winners of the Oregon Lottery, detailing the process for claiming prizes over $600 either by mail or in person. It includes instructions for filling out the form, necessary personal information required from the claimant, and legal disclaimers regarding prize claims. The document emphasizes that only natural persons can claim prizes and outlines the tax implications of winning.

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Click ‘Get Form’ to open the Oregon Lottery Claim Form in our editor.
Begin by entering your full legal name in the 'Winner Information' section. Ensure that it matches the name on your winning ticket.
Fill in your address, including city, state, and zip code. This is crucial for prize processing and any necessary tax documentation.
Provide your Social Security Number (SSN) or Individual Taxpayer Identification Number (ITIN). This information is required for tax purposes.
Enter your birth date in the specified format (MM-DD-YYYY) and provide a daytime phone number where you can be reached.
Indicate whether you are a U.S. citizen and provide your driver’s license or ID number if applicable.
Specify the prize amount you are claiming and confirm if you have any other identical tickets for the same game.
Read the declaration statement carefully, sign, and date the form. Remember, an original signature is mandatory for processing.

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Versions	Form popularity	Fillable & printable
2019	4.8 Satisfied (76 Votes)
2015	4 Satisfied (39 Votes)

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

How much tax do you pay on a $2500 lottery ticket?

And two other states (California and Delaware) dont tax state lottery winnings.

What kind of bank account do you need if you win the lottery?

Open a Private Bank Account Private bank accounts are a popular option for individuals who have recently come into large sums of money. This is true for lottery winners, inheritance recipients, and those with recent liquidation events.

How to claim Lottery anonymously in Oregon?

Nope. There are just a handful of lotteries in the U.S. that do allow winners to remain anonymous. In Oregon, certain information about Lottery prizes is public record, including the name of the winner, amount of the prize, date of the drawing, name of the game played and city in which the winning ticket was purchased.

Where can I cash my Lottery ticket over $600 in Oregon?

Salem Wilsonville Prize Payment Centers Lottery prizes over $600 and Video Lottery prizes over $1250 can be claimed at Salem or Wilsonville. An appointment is required for prizes over $50,000.

How do you collect lottery winnings in Oregon?

How to Claim Your Prize Take your ticket to a Lottery retailer. for smaller prizes only tap for details. Send by mail. with a prize claim form. Use the drop box. at the Lottery office in Salem. Claim at a Prize Center. Make an appointment or drop in.